Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (593)

Search Parameters:
Keywords = excursion

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
11 pages, 1614 KiB  
Article
Aortic Valve Annular Characteristics in Isolated Left Ventricular Non-Compaction—Detailed Analysis from the Three-Dimensional Speckle Tracking Echocardiographic MAGYAR-Path Study
by Attila Nemes, Nóra Ambrus, Máté Vámos, Rita B. Gagyi, Tamás Szili-Török, Zoltán Ruzsa and Csaba Lengyel
J. Clin. Med. 2025, 14(16), 5778; https://doi.org/10.3390/jcm14165778 - 15 Aug 2025
Abstract
Background: Left ventricular (LV) non-compaction (NC) is a rare ventricular phenotype characterized by a thin compacted epicardial layer and an extensive non-compacted endocardial layer with prominent LV trabeculations and deep intertrabecular recesses. According to the recent literature, no information is available regarding the [...] Read more.
Background: Left ventricular (LV) non-compaction (NC) is a rare ventricular phenotype characterized by a thin compacted epicardial layer and an extensive non-compacted endocardial layer with prominent LV trabeculations and deep intertrabecular recesses. According to the recent literature, no information is available regarding the abnormalities of the aortic valve annulus (AVA) in LVNC. Therefore, the aim of the present study was to perform a detailed analysis of the AVA by three-dimensional speckle-tracking echocardiography (3DSTE) in LVNC patients and to compare the findings with matched healthy controls. Methods: The present study comprised 21 isolated LVNC patients, from which 9 cases were excluded due to inferior image quality. The remaining group consisted of 12 patients with isolated LVNC (mean age: 54.6 ± 13.6 years, 7 males). Jenni’s echocardiography criteria served as a definition of LVNC. The 12 patients’ results were compared to 38 healthy age- and gender-matched controls (mean age: 48.2 ± 8.0 years, 19 males). Subgroups of patients having a greater end-diastolic versus end-systolic AVA area were also compared. Results: Most of AVA dimensions did not differ significantly between LVNC patients and controls; however, most LVNC patients showed a larger end-diastolic AVA area (9 out of 12, 75%), which was a significantly larger ratio as seen in matched controls (11 out of 38, 29%, p < 0.05). Aortic valve annular plane systolic excursion (AAPSE) proved to be significantly reduced in all LVNC patients (1.12 ± 0.24 cm vs. 0.78 ± 0.28 cm, p < 0.05) and in LVNC subjects with a greater end-diastolic AVA area (1.11 ± 0.21 cm vs. 0.72 ± 0.21 cm, p < 0.05). Basal LV radial (RS) and longitudinal (LS) strains were reduced in healthy adults with a greater end-diastolic AVA area as compared to cases with a greater end-systolic AVA area. In LVNC, not only basal LV-RS and LV-LS, but also LV circumferential strain (CS) proved to be reduced regardless of whether the AVA was greater in end-diastole or in end-systole. Conclusions: In patients with isolated LVNC, the AVA is not dilated; however, the presence of a greater end-diastolic AVA area is observed more frequently than in healthy controls. AAPSE and basal LV-RS, LV-LS and LV-CS values are significantly reduced in LVNC irrespective of whether the end-systolic or end-diastolic AVA area is greater. Full article
(This article belongs to the Section Cardiology)
Show Figures

Figure 1

11 pages, 829 KiB  
Article
The Dimensions of the Aortic Valve Annulus Are Not Associated with Systolic Excursion of Its Plane in the Same Healthy Adults: Detailed Insights from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study
by Attila Nemes, Nóra Ambrus and Csaba Lengyel
J. Clin. Med. 2025, 14(16), 5760; https://doi.org/10.3390/jcm14165760 - 14 Aug 2025
Abstract
Background/Objectives: The aortic valve has a prominent role in regulating blood flow and is of exceptional importance in clinical cardiological practice, as it can be affected by numerous abnormalities, so any clinical study that examines its physiological properties may be of significance. It [...] Read more.
Background/Objectives: The aortic valve has a prominent role in regulating blood flow and is of exceptional importance in clinical cardiological practice, as it can be affected by numerous abnormalities, so any clinical study that examines its physiological properties may be of significance. It is known that the dimensions of the aortic valve annulus (AVA) not only change during the cardiac cycle, but also undergo spatial displacement. Considering this, the question arises as to whether the AVA’s dimensions and their spatial displacement, represented by aortic annular plane systolic excursion (AAPSE), are related or not. Therefore, these parameters were simultaneously assessed using three-dimensional speckle-tracking echocardiography (3DSTE) in healthy adults. Methods: The present study’s cohort consisted of 148 healthy adults (mean age: 34.8 ± 12.4 years, 80 men). In all cases, two-dimensional Doppler echocardiography and 3DSTE were performed, the latter being used to assess the aortic valve. Results: In all subjects, end-diastolic and end-systolic AVA dimensions showed no association with an increase in AAPSE. In subjects with a greater end-diastolic AVA area (AVA-A), end-systolic AVA dimensions tended to decrease with increasing AAPSE; this trend reached statistical significance for end-systolic minimum AVA diameter, when comparing participants with AAPSE below versus above the mean. With increasing end-diastolic AVA-A, all other AVA parameters increased accordingly in all subjects and regardless of which AVA-A proved to be greater. In all subjects, and in those with a greater end-systolic AVA-A, the AAPSE proved to be similar regardless of the size of the end-diastolic AVA-A. In cases with a greater end-diastolic AVA-A, only one subject showed a very small end-diastolic AVA-A. With increasing end-systolic AVA-A, all other AVA dimensions were increased in all subjects and in cases with a greater end-diastolic or end-systolic AVA-A. AAPSE showed no significant differences between the subgroups examined, although it tended to be lower in cases with a greater end-diastolic AVA-A and the largest end-systolic AVA-A, and in subjects with a greater end-systolic AVA-A and the smallest end-systolic AVA-A. Moreover, individuals with a greater end-diastolic AVA-A and the smallest end-systolic AVA-A had a tendency for increased AAPSE. No correlations were present between AVA dimensions and AAPSE. Conclusions: 3DSTE-derived AVA dimensions showed no obvious associations with AAPSE in the same healthy adults. Full article
(This article belongs to the Special Issue Advances in Echocardiography and Its Clinical Applications)
Show Figures

Figure 1

16 pages, 987 KiB  
Article
Impact of Gliflozins on Right Heart Remodeling in Italian Patients with Type 2 Diabetes and Heart Failure: Results from the GLISCAR Real-World Study
by Erica Vetrano, Raffaele Galiero, Vittorio Simeon, Giuseppe Palmiero, Arturo Cesaro, Alfredo Caturano, Luca Rinaldi, Teresa Salvatore, Roberto Ruggiero, Maria Rosaria Di Palo, Celestino Sardu, Raffaele Marfella, Paolo Calabrò and Ferdinando Carlo Sasso
Pharmaceuticals 2025, 18(8), 1200; https://doi.org/10.3390/ph18081200 - 14 Aug 2025
Abstract
Aims: The effect of sodium–glucose cotransporter 2 inhibitors (SGLT2is) in addition to optimal medical therapy (OMT) on right ventricular (RV) systolic function in patients with heart failure with reduced ejection fraction (HFrEF) is not well established. This study aimed to assess the [...] Read more.
Aims: The effect of sodium–glucose cotransporter 2 inhibitors (SGLT2is) in addition to optimal medical therapy (OMT) on right ventricular (RV) systolic function in patients with heart failure with reduced ejection fraction (HFrEF) is not well established. This study aimed to assess the impact of SGLT2is on RV function using advanced echocardiographic parameters in patients with HFrEF and type 2 diabetes (T2D). Methods: The real-world prospective, observational GLISCAR study enrolled 31 consecutive patients with T2D and HFrEF. All participants underwent clinical evaluation, laboratory testing, and comprehensive echocardiography at baseline and after 12 months of treatment with an SGLT2i. Results: After 12 months, statistically significant improvements in RV function were observed. Tricuspid annular plane systolic excursion (TAPSE) increased from 18.00 mm (SD ± 4.23; 95% confidence interval (CI): 16.51–19.49 mm) to 19.40 mm (SD ± 4.13; 95% CI: 17.95–20.85 mm) (p = 0.0346), and pulmonary artery systolic pressure (PASP) decreased from 35.23 mmHg (SD ± 14.61; 95% CI: 30.09–40.37 mm) to 30.89 mmHg (SD ± 7.77; 95% CI: 28.15–33.63 mm) (p < 0.001). These changes may suggest favorable RV remodeling and improved right ventricular–arterial coupling (RVAC). Conclusions: SGLT2i therapy was associated with improved RV function and RVAC in patients with HFrEF and T2D. While these findings are preliminary and drawn from a small, observational cohort, they support a potential role for SGLT2is in right heart remodeling. Further randomized, controlled studies are needed to confirm these effects and clarify their clinical implications. Full article
Show Figures

Graphical abstract

19 pages, 2377 KiB  
Article
Embodied Learning—The Contribution of a Motion-Based Game to Kindergarten Children’s Knowledge of Local Tree Species
by Petra Lindemann-Matthies, Frauke Lutz and Martin Remmele
Sustainability 2025, 17(16), 7310; https://doi.org/10.3390/su17167310 - 13 Aug 2025
Viewed by 241
Abstract
Given the importance of plants for ecosystem functioning, sustainability, and human well-being, children should be introduced to local species as early as possible. This study investigated whether kindergarten children (n = 24) can acquire knowledge of trees through a motion-based educational game and [...] Read more.
Given the importance of plants for ecosystem functioning, sustainability, and human well-being, children should be introduced to local species as early as possible. This study investigated whether kindergarten children (n = 24) can acquire knowledge of trees through a motion-based educational game and a subsequent half-day excursion. During the game, illustrations of trees were shown, their names were called out, and the children were asked to perform certain movements relating to features/names of the trees they had practiced. In semi-structured interviews directly after the activities and three months later, the children were asked to identify the trees by their leaves and to provide reasons why they had remembered their names. Already, after playing the game for four weeks, species with large and iconic leaves such as Norway maple (Acer platanoides) were correctly identified in nature by about 80% of the children. The interviews showed that even after three months, children correctly identified more than half of the species presented. They recognized the trees by their shape and the texture of their leaves but also by remembering the corresponding movements. The combination of motion-based play and hands-on, sensory investigations can be recommended to promote plant knowledge right from kindergarten age. Full article
(This article belongs to the Section Sustainable Education and Approaches)
Show Figures

Figure 1

14 pages, 2310 KiB  
Article
A High-Fidelity Model of the Peach Bottom 2 Turbine-Trip Benchmark Using VERA
by Nicholas Herring, Robert Salko and Mehdi Asgari
J. Nucl. Eng. 2025, 6(3), 28; https://doi.org/10.3390/jne6030028 - 4 Aug 2025
Viewed by 277
Abstract
This work presents a high-fidelity simulation of the Peach Bottom turbine trip (PBTT) benchmark using the Virtual Environment for Reactor Applications (VERA), a multiphysics reactor modeling tool developed by the U.S. Department of Energy’s Consortium for Advanced Simulation of Light Water Reactors energy [...] Read more.
This work presents a high-fidelity simulation of the Peach Bottom turbine trip (PBTT) benchmark using the Virtual Environment for Reactor Applications (VERA), a multiphysics reactor modeling tool developed by the U.S. Department of Energy’s Consortium for Advanced Simulation of Light Water Reactors energy innovation hub. The PBTT benchmark, based on a 1977 transient event at the end of cycle 2 in a General Electric Type-4 boiling water reactor (BWR), is a critical test case for validating core physics models with thermal feedback during rapid reactivity events. VERA was employed to perform end-to-end, pin-resolved simulations from conditions at the beginning of cycle 1 through the turbine-trip transient, incorporating detailed neutron transport, fuel depletion, and subchannel thermal hydraulics. The simulation reproduced key benchmark observables with high accuracy: the peak power excursion occurred at 0.75 s, matching the scram time and closely aligning with the benchmark average of 0.742 s; the simulated maximum power spike was approximately 7600 MW, which is within 3% of the benchmark average of 7400 MW; and void-collapse dynamics were consistent with benchmark expectations. Reactivity predictions during cycles 1 and 2 remained within 1500 pcm and 400 pcm of criticality, respectively. These results confirm VERA’s ability to model complex coupled neutronic and thermal hydraulic behavior in a BWR turbine-trip transient, which will support its use in future studies of modeling dryout, fuel performance, and uncertainty quantification for transients of this type. Full article
(This article belongs to the Special Issue Validation of Code Packages for Light Water Reactor Physics Analysis)
Show Figures

Figure 1

13 pages, 1191 KiB  
Article
Linking Heart Function to Prognosis: The Role of a Novel Echocardiographic Index and NT-proBNP in Acute Heart Failure
by Dan-Cristian Popescu, Mara Ciobanu, Diana Țînț and Alexandru-Cristian Nechita
Medicina 2025, 61(8), 1412; https://doi.org/10.3390/medicina61081412 - 4 Aug 2025
Viewed by 318
Abstract
Background and Objectives: Risk stratification in acute heart failure (AHF) remains challenging, particularly in settings where biomarker availability is limited. Echocardiography offers valuable hemodynamic insights, but no single parameter fully captures the complexity of biventricular dysfunction and pressure overload. This study aimed to [...] Read more.
Background and Objectives: Risk stratification in acute heart failure (AHF) remains challenging, particularly in settings where biomarker availability is limited. Echocardiography offers valuable hemodynamic insights, but no single parameter fully captures the complexity of biventricular dysfunction and pressure overload. This study aimed to evaluate a novel echocardiographic index (ViRTUE IndexVTI-RVRA-TAPSE Unified Evaluation) integrating a peak systolic gradient between the right ventricle and right atrium (RV-RA gradient), tricuspid annular plane systolic excursion (TAPSE), the velocity–time integral in the left ventricular outflow tract (VTI LVOT), NT-proBNP (N-terminal pro–B-type Natriuretic Peptide) levels, and in-hospital mortality among patients with AHF. Materials and Methods: We retrospectively analyzed 123 patients admitted with AHF. Echocardiographic evaluation at admission included TAPSE, VTI LVOT, and the RV-RA gradient. An index was calculated as RVRA gradient TAPSE x VTI LVOT. NT-proBNP levels and in-hospital outcomes were recorded. Statistical analysis included correlation, logistic regression, and ROC curve evaluation. Results: The proposed index showed a significant positive correlation with NT-proBNP values (r = 0.543, p < 0.0001) and good discriminative ability for elevated NT-proBNP (AUC = 0.79). It also correlated with in-hospital mortality (r = 0.193, p = 0.032) and showed moderate prognostic performance (AUC = 0.68). Higher index values were associated with greater mortality risk. Conclusions: This novel index, based on standard echocardiographic measurements, reflects both systolic dysfunction and pressure overload in AHF. Its correlation with NT-proBNP and in-hospital mortality highlights its potential as a practical, accessible bedside tool for early risk stratification, particularly when biomarker testing is unavailable or delayed. Full article
(This article belongs to the Special Issue Updates on Prevention of Acute Heart Failure)
Show Figures

Figure 1

14 pages, 3410 KiB  
Article
Gut Hormones and Postprandial Metabolic Effects of Isomaltulose vs. Saccharose Consumption in People with Metabolic Syndrome
by Jiudan Zhang, Dominik Sonnenburg, Stefan Kabisch, Stephan Theis, Margrit Kemper, Olga Pivovarova-Ramich, Domenico Tricò, Sascha Rohn and Andreas F. H. Pfeiffer
Nutrients 2025, 17(15), 2539; https://doi.org/10.3390/nu17152539 - 1 Aug 2025
Viewed by 300
Abstract
Background: Low-glycemic index (GI) carbohydrates like isomaltulose (ISO) are known to enhance incretin release and to improve postprandial glucose control at the following meal (an effect known as second meal effect, or SME), which is particularly beneficial for individuals with metabolic syndrome (MetS). [...] Read more.
Background: Low-glycemic index (GI) carbohydrates like isomaltulose (ISO) are known to enhance incretin release and to improve postprandial glucose control at the following meal (an effect known as second meal effect, or SME), which is particularly beneficial for individuals with metabolic syndrome (MetS). This study aimed to assess the most effective preprandial interval of ISO- or saccharose (SUC) snacks (1 h vs. 3 h preload) to enhance prandial incretin responses to a subsequent meal. Methods: In a randomized crossover design, 15 participants with MetS completed four experimental conditions on four non-consecutive days, combining two preload types (ISO or SUC) and two preload timings (Intervention A: 3 h preload; Intervention B: 1 h preload). Specifically, the four conditions were (1) ISO + Intervention A, (2) SUC + Intervention A, (3) ISO + Intervention B, and (4) SUC + Intervention B. The order of conditions was randomized and separated by a 3–7-day washout period to minimize carryover effects. On each study day, participants consumed two mixed meal tests (MMT-1 and MMT-2) with a standardized preload (50 g ISO or SUC) administered either 3 h or 1 h prior to MMT-2. Blood samples were collected over 9 h at 15 predefined time points for analysis of glucose, insulin, C-peptide, and incretin hormones (GLP-1, GIP, and PYY). Results: The unique digestion profile of ISO resulted in a blunted glucose ascent rate (ΔG/Δt: 0.28 vs. 0.53 mmol/L/min for SUC, p < 0.01), paralleled by synonyms PYY elevation over 540 min monitoring, compared with SUC. ISO also led to higher and more sustained GLP-1 and PYY levels, while SUC induced a stronger GIP response. Notably, the timing of ISO consumption significantly influenced PYY secretion, with the 3 h preload showing enhanced PYY responses and a more favorable SME compared to the 1 h preload. Conclusions: ISO, particularly when consumed 3 h before a meal (vs. 1 h), offers significant advantages over SUC by elevating PYY levels, blunting the glucose ascent rate, and sustaining GLP-1 release. This synergy enhances the second meal effect, suggesting ISO’s potential for managing postprandial glycemic excursions in MetS. Full article
(This article belongs to the Section Nutrition and Metabolism)
Show Figures

Figure 1

22 pages, 2738 KiB  
Article
Mitigation of Solar PV Impact in Four-Wire LV Radial Distribution Feeders Through Reactive Power Management Using STATCOMs
by Obaidur Rahman, Duane Robinson and Sean Elphick
Electronics 2025, 14(15), 3063; https://doi.org/10.3390/electronics14153063 - 31 Jul 2025
Viewed by 253
Abstract
Australia has the highest per capita penetration of rooftop solar PV systems in the world. Integration of these systems has led to reverse power flow and associated voltage rise problems in residential low-voltage (LV) distribution networks. Furthermore, random, uncontrolled connection of single-phase solar [...] Read more.
Australia has the highest per capita penetration of rooftop solar PV systems in the world. Integration of these systems has led to reverse power flow and associated voltage rise problems in residential low-voltage (LV) distribution networks. Furthermore, random, uncontrolled connection of single-phase solar systems can exacerbate voltage unbalance in these networks. This paper investigates the application of a Static Synchronous Compensator (STATCOM) for the improvement of voltage regulation in four-wire LV distribution feeders through reactive power management as a means of mitigating voltage regulation and unbalance challenges. To demonstrate the performance of the STATCOM with varying loads and PV output, a Q-V droop curve is applied to specify the level of reactive power injection/absorption required to maintain appropriate voltage regulation. A practical four-wire feeder from New South Wales, Australia, has been used as a case study network to analyse improvements in system performance through the use of the STATCOM. The outcomes indicate that the STATCOM has a high degree of efficacy in mitigating voltage regulation and unbalance excursions. In addition, compared to other solutions identified in the existing literature, the STATCOM-based solution requires no sophisticated communication infrastructure. Full article
(This article belongs to the Special Issue Power Electronics and Renewable Energy System)
Show Figures

Figure 1

12 pages, 396 KiB  
Article
Surf’s Up for Postural Stability: A Descriptive Study of Physical Activity, Balance, Flexibility, and Self-Esteem in Healthy Adults
by Guillermo De Castro-Maqueda, Miguel Ángel Rosety-Rodríguez, Macarena Rivero-Vila, Jorge Del Rosario Fernández-Santos and Teppei Abiko
J. Funct. Morphol. Kinesiol. 2025, 10(3), 290; https://doi.org/10.3390/jfmk10030290 - 29 Jul 2025
Viewed by 330
Abstract
Background: This study examines balance, flexibility and self-esteem among healthy individuals who engage in surfing compared to those who do not surf. Methods: A cross-sectional study design was conducted with 124 participants divided into the following groups: Group 1: Surfers n = 42; [...] Read more.
Background: This study examines balance, flexibility and self-esteem among healthy individuals who engage in surfing compared to those who do not surf. Methods: A cross-sectional study design was conducted with 124 participants divided into the following groups: Group 1: Surfers n = 42; Group 2: individuals performing over 3 h of physical activity per week n = 43; and Group 3: individuals performing fewer than 3 h of physical activity per week n = 39. To assess balance, the Star Excursion Balance Test (SEBT) and the Flamenco Test (FBT) were used, the sit-and-reach test (SRT) was used to measure hamstring extensibility, the Rosenberg Scale was used to measure self-esteem, and the International Physical Activity Questionnaire (IPAQ) was used to measure physical activity levels. Results: Regarding descriptive characteristics, G1 participants were significant older than those of G2 and G3 (p < 0.05 and p < 0.001, respectively). Moreover, there was a higher proportion of females in G3 than in G1 and G2 (p < 0.05). The results revealed significant differences in balance between the surfers and those engaging in fewer than 3 h of activity per week (p < 0.05). G1 obtained significantly higher results in SEBT-left leg than G2 and G3 (p < 0.001) and higher result in SEBT-right leg and FBT than G3 (p < 0.05) but no significant differences in self-esteem were found. Significant differences in flexibility were observed between males and females (p < 0.001). Conclusions: This result suggests that surfing could have a positive effect on balance. Full article
Show Figures

Figure 1

11 pages, 1579 KiB  
Article
Effect of Iron Deficiency on Right Ventricular Strain in Patients Diagnosed with Acute Heart Failure
by Kemal Engin, Umit Yasar Sinan, Sukru Arslan and Mehmet Serdar Kucukoglu
J. Clin. Med. 2025, 14(15), 5188; https://doi.org/10.3390/jcm14155188 - 22 Jul 2025
Viewed by 294
Abstract
Background: Iron deficiency (ID) is a prevalent comorbidity of heart failure (HF), affecting up to 59% of patients, regardless of the presence of anaemia. Although its negative impact on left ventricular (LV) function is well documented, its effect on right ventricular (RV) function [...] Read more.
Background: Iron deficiency (ID) is a prevalent comorbidity of heart failure (HF), affecting up to 59% of patients, regardless of the presence of anaemia. Although its negative impact on left ventricular (LV) function is well documented, its effect on right ventricular (RV) function remains unclear. This study assessed the effects of ID on RV global longitudinal strain (RV-GLS) in patients diagnosed with acute decompensated HF (ADHF). Methods: This study included data from 100 patients hospitalised with ADHF irrespective of LV ejection fraction (LVEF) value. ID was defined according to the European Society of Cardiology HF guidelines as serum ferritin <100 ng/mL or ferritin 100–299 ng/mL, with transferrin saturation <20%. Anaemia was defined according to World Health Organization criteria as haemoglobin level <12 g/dL in women and <13 g/dL in men. RV systolic function was assessed using parameters including RV ejection fraction (RVEF), tricuspid annular plane systolic excursion (TAPSE), RV fractional area change (FAC), peak systolic tissue Doppler velocity of the RV annulus (RV TDI S′), acceleration time of the RV outflow tract, and RV free wall GLS. Results: The mean (±SD) age of the study population (64% male) was 70 ± 10 years. The median LVEF was 35%, with 66% of patients classified with HF with reduced ejection fraction, 6% with HF with mid-range ejection fraction, and 28% with HF with preserved ejection fraction. Fifty-eight percent of patients had ID. There were no significant differences between patients with and without ID regarding demographics, LVEF, RV FAC, RV TDI S′, or systolic pulmonary artery pressure. However, TAPSE (15.6 versus [vs.] 17.2 mm; p = 0.05) and RV free wall GLS (−14.7% vs. −18.2%; p = 0.005) were significantly lower in patients with ID, indicating subclinical RV systolic dysfunction. Conclusions: ID was associated with subclinical impairment of RV systolic function in patients diagnosed with ADHF, as evidenced by reductions in TAPSE and RV-GLS, despite the preservation of conventional RV systolic function parameters. Further research validating these findings and exploring the underlying mechanisms is warranted. Full article
(This article belongs to the Section Cardiology)
Show Figures

Figure 1

11 pages, 2073 KiB  
Article
Comparison of Lower Limb Kinematics Between Increased Hip Flexion Gait and Cycling: Implications for Exercise Prescription in Clinical Populations
by Nuno Oliveira and Tanner Thorsen
Appl. Sci. 2025, 15(14), 8045; https://doi.org/10.3390/app15148045 - 19 Jul 2025
Viewed by 360
Abstract
Exercise is an important component in the treatment and improvement of function in populations with or at risk of lower limb injury. Cycling is the most common exercise modality used by these populations. However, reduced lower limb joint excursion and/or range of motion [...] Read more.
Exercise is an important component in the treatment and improvement of function in populations with or at risk of lower limb injury. Cycling is the most common exercise modality used by these populations. However, reduced lower limb joint excursion and/or range of motion (ROM) during cycling might limit the optimization of functional improvements. Increased hip flexion gait (HFgait) is a new exercise modality that might result in larger lower limb joint excursions compared to cycling. The purpose of this study was to compare lower limb kinematics between HFgait and cycling. Twelve healthy individuals participated in the study. Each participant performed cycling and HFgait. Hip, knee, and ankle kinematics in the sagittal, frontal, and transverse planes were analyzed with and without phase offset reduction (POR). Discrete and continuous analyses were performed. Discrete analysis indicated differences for at least one of the variables analyzed (maximum, minimum, and ROM) for the hip (p ≤ 0.041), knee (p ≤ 0.008), and ankle (p ≤ 0.040) across all planes. For the continuous analysis, differences between HFgait and cycling kinematics were observed during the cycles for the hip, knee, and ankle sagittal (hip: original: 85%; with POR: 77%; knee: original: 93%; with POR: 76%; ankle: original: 14%; with POR: 14%), frontal (hip: original: 93%; with POR: 98%; knee: original: 41%; with POR: 12%; ankle: original: 4%; with POR: 5%), and transverse (hip: original: 66%; with POR: 0%; knee: original: 14%; with POR: 0%; ankle: original: 3%; with POR: 0%) planes. HFgait resulted in larger hip (+60.2°) and knee (+38.2°) sagittal plane ROM while maintaining the hip in a more neutral position in the frontal plane compared with cycling. These findings can support the development of rehabilitation strategies with the goal of improving function and joint range of motion while also receiving the health benefits of exercise. Full article
(This article belongs to the Special Issue Advances in Biomechanics and Sports Medicine)
Show Figures

Figure 1

13 pages, 1088 KiB  
Article
Mid-Term Recovery of Right Ventricular Function and Improvement of Left Ventricular Function After Da Silva Cone Procedure for Ebstein Anomaly
by Krithika Sundaram, Veenah Stoll, Luciana Da Fonseca Da Silva, Adam Christopher, Arvind Hoskoppal, Jacqueline Kreutzer, David Liddle, Laura Olivieri, Jacqueline Weinberg, Craig P. Dobson, José P. Da Silva and Tarek Alsaied
J. Cardiovasc. Dev. Dis. 2025, 12(7), 276; https://doi.org/10.3390/jcdd12070276 - 17 Jul 2025
Viewed by 449
Abstract
Background: The Da Silva Cone procedure for Ebstein anomaly has dramatically improved tricuspid valve competence and clinical outcomes. However, preoperative left ventricular (LV) dysfunction and immediate postoperative right ventricular (RV) systolic dysfunction are frequently observed. While excellent valve outcomes are well established, recovery [...] Read more.
Background: The Da Silva Cone procedure for Ebstein anomaly has dramatically improved tricuspid valve competence and clinical outcomes. However, preoperative left ventricular (LV) dysfunction and immediate postoperative right ventricular (RV) systolic dysfunction are frequently observed. While excellent valve outcomes are well established, recovery of biventricular function following the Cone remains less defined. This study aimed to evaluate longitudinal changes in RV and LV function postoperatively and over a minimum of six months post-Cone operation. Methods: A single center retrospective review of 134 patients who underwent Cone repair for Ebstein’s anomaly from 2016 to 2024 was performed. Echocardiograms were analyzed at three time points: preoperative (Time 1), hospital discharge (Time 2), and ≥6 months postoperative (Time 3). RV parameters included fractional area change (FAC), tricuspid annular plane systolic excursion (TAPSE), and tricuspid S′. LV parameters included left ventricular ejection fraction (LVEF), end-diastolic volume indexed to body surface area (LVEDVi), left ventricular stroke volume (LVSVi), and mitral E/E′. Subgroup analyses examined outcomes by prior Glenn, Starnes procedure, and degree of RV dilation. Paired two sample t-tests were used to compare serial measures. Results: Median age at surgery was 7.8 years (IQR: 2.3–17.7). All patients had discharge echocardiograms; 70 had follow-up studies at ≥6 months. RV function declined postoperatively with reductions in FAC (35% to 21%), TAPSE (2.0 to 0.8 cm), and S′ (13 to 5 cm/s), all p < 0.001. By Time 3, these measures improved (FAC to 29%, TAPSE to 1.3 cm, S′ to 7 cm/s) but did not fully return to baseline. LVEDVi and LVSVi increased significantly by Time 3 (LVEDVi: 47 to 54 mL/m2; LVSVi: 30 to 34 mL/m2; p < 0.001), while LVEF remained unchanged. Patients with prior Glenn or Starnes had greater Time 1 LV volumes and lower RV function, but by Time 3, most differences resolved. Moderate–severe preoperative RV dilation was associated with worse RV function at Time 2 and normalized by Time 3. Conclusions: The Da Silva Cone procedure leads to early postoperative RV dysfunction with partial recovery over the mid-term follow-up. Concurrently, LV filling and stroke volume improve, reflecting favorable interventricular interaction. These findings support echocardiographic surveillance to guide functional recovery post-Cone and inform patient counseling. Full article
Show Figures

Graphical abstract

15 pages, 1917 KiB  
Article
Home Range and Habitat Selection of Blue-Eared Pheasants Crossoptilon auritum During Breeding Season in Mountains of Southwest China
by Jinglin Peng, Xiaotong Shang, Fan Fan, Yong Zheng, Lianjun Zhao, Sheng Li, Yang Liu and Li Zhang
Animals 2025, 15(14), 2015; https://doi.org/10.3390/ani15142015 - 8 Jul 2025
Viewed by 335
Abstract
The blue-eared pheasant (Crossoptilon auritum), a Near Threatened (NT) species endemic to China, is primarily distributed across the northeastern region of the Qinghai–Tibetan Plateau. To bridge the fine-scale spatiotemporal gap in blue-eared pheasant behavioral ecology, this study combines satellite telemetry, movement [...] Read more.
The blue-eared pheasant (Crossoptilon auritum), a Near Threatened (NT) species endemic to China, is primarily distributed across the northeastern region of the Qinghai–Tibetan Plateau. To bridge the fine-scale spatiotemporal gap in blue-eared pheasant behavioral ecology, this study combines satellite telemetry, movement modeling, and field-based habitat assessments (vegetation, topography, human disturbance). This multidisciplinary approach reveals detailed patterns of their behavior throughout the breeding season. Using satellite-tracking data from six individuals (five males tracked at 4 h intervals; one female tracked hourly) in Wanglang National Nature Reserve (WLNNR), Sichuan Province during breeding seasons 2018–2019, we quantified their home ranges via Kernel Density Estimation (KDE) and examined the female movement patterns using a Hidden Markov Model (HMM). The results indicated male core (50% KDE: 21.93 ± 16.54 ha) and total (95% KDE: 158.30 ± 109.30 ha) home ranges, with spatial overlap among individuals but no significant temporal variation in home range size. Habitat selection analysis indicated that the blue-eared pheasants favored shrub-dominated areas at higher elevations (steep southeast-facing slopes), regions distant from human disturbance, and with abundant animal trails. We found that their movement patterns differed between sexes: the males exhibited higher daytime activity yet slower movement speeds, while the female remained predominantly near nests, making brief excursions before returning promptly. These results enhance our understanding of the movement ecology of blue-eared pheasants by revealing fine-scale breeding-season behaviors and habitat preferences through satellite-tracking. Such detailed insights provide an essential foundation for developing targeted conservation strategies, particularly regarding effective habitat management and zoning of human activities within the species’ range. Full article
(This article belongs to the Section Birds)
Show Figures

Graphical abstract

28 pages, 4733 KiB  
Article
The Margin of Stability During a Single-Turn Pirouette in Female Amateur Dancers: A Pilot Study
by Annalisa Dykstra, Ashley Kooistra, Nicole Merucci, David W. Zeitler and Gordon Alderink
Appl. Sci. 2025, 15(13), 7519; https://doi.org/10.3390/app15137519 - 4 Jul 2025
Viewed by 359
Abstract
Balance control in pirouettes has previously been characterized by constraint of the topple angle. However, there is a paucity of research using the margin of stability (MoS) as a dynamic measure of balance related to pirouettes. Therefore, this study aimed primarily to examine [...] Read more.
Balance control in pirouettes has previously been characterized by constraint of the topple angle. However, there is a paucity of research using the margin of stability (MoS) as a dynamic measure of balance related to pirouettes. Therefore, this study aimed primarily to examine the MoS as a metric of balance during a single-turn en dehors pirouette in healthy female amateur ballet dancers. Four participants performed pirouettes until five successful pirouettes were achieved without hopping or loss of balance. Three-dimensional motion capture was used to record the motion trajectories of anatomical markers based on the Plug-in-Gait and Oxford Foot models. Motion synchronized with ground reaction forces was used to calculate the center of pressure (CoP), base of support (BoS), center of the pivot foot, center of mass (CoM), and extrapolated center of mass (XCoM) throughout the turn phase, using laboratory (LCS) and virtual left foot (LFT) coordinate systems. In the LCS and LFT coordinate system, the excursions and patterns of motion of both the CoM and XCoM relative to the CoP were similar, suggesting a neurological relationship. Two different measures of the margin of stability (MoS) in the LFT coordinate system were tabulated: the distance between the (1) XCoM and CoP and (2) XCoM and BoS center. The magnitude of both versions of the MoS was greatest at turn initiation and toe-touch, which was associated with two foot contacts. The MoS values were at a minimum approximately 50% of the stance during the turn phase: close to zero along the anteroposterior (A/P) axis and approximately 50 mm along the mediolateral (M/L) axis. On average, MoS magnitudes were reduced (mean across participants: approximately 20 mm) along the A/P axis, and larger MoS magnitudes (mean across participants: approximately 50 mm) along the M/L axis throughout the turn phase. Although all turns analyzed were completed successfully, the larger MoS values along the M/L axis suggest a fall potential. The variability between trials within a dancer and across participants and trials was documented and showed moderate inter-trial (16% to 51%) and across-participant CV% (range: 10% to 28%), with generally larger variations along the A/P axis. Although our results are preliminary, they suggest that the MoS may be useful for detecting faults in the control of dynamic balance in dehors pirouette performance, as a part of training and rehabilitation following injury. Full article
Show Figures

Figure 1

20 pages, 17089 KiB  
Article
Sedimentary Characteristics and Genetic Mechanisms of Non-Evaporitic Gypsum in a Half-Graben Basin: A Case Study from the Zhanhua Sag, Bohai Bay Basin, China
by Muxin Cai, Jianguo Zhang, Zaixing Jiang, Junliang Li, Tao Meng, Peng Liu and Chao Jiang
J. Mar. Sci. Eng. 2025, 13(7), 1300; https://doi.org/10.3390/jmse13071300 - 2 Jul 2025
Viewed by 389
Abstract
Gypsum and salt rocks have been proven to act as seals for abundant oil and gas reserves on a global scale, with significant potential for hydrocarbon preservation and evolution. Notably, the sedimentary dynamics of non-evaporitic gypsum in terrestrial half-graben basins remain underexplored, particularly [...] Read more.
Gypsum and salt rocks have been proven to act as seals for abundant oil and gas reserves on a global scale, with significant potential for hydrocarbon preservation and evolution. Notably, the sedimentary dynamics of non-evaporitic gypsum in terrestrial half-graben basins remain underexplored, particularly regarding its genetic link to hydrocarbon accumulation in interbedded mudstones. This study is based on the Zhanhua Sag, in which thick-layered gypsum rocks with dark mudstone are deposited. The gypsum crystals show the intermittent deposition characteristics. The cumulative thickness of the gypsum-containing section reaches a maximum of over 110 m. The spatial distribution of gypsum thickness correlates strongly with the location of deep-seated faults. The strontium and sulfur isotopes of gypsum indicate deep hydrothermal fluids as mineral sources, and negative oxygen isotope excursions also suggest that gypsum layers precipitated in situ from hot brine. Total organic carbon and Rock-Eval data indicate that the deep-lake gypsum rock system has excellent hydrocarbon potential, especially in the mudstone interlayers. This study developed a depositional model of deep-lake gypsum rocks with thermal brine genesis in half-graben basins. The gypsum-bearing system is rich in mudstone interlayers. These gypsum–mudstone interbeds represent promising targets for shale oil exploration after the initial breakthrough during the extraction process. These insights provide a theoretical framework for understanding gypsum-related petroleum systems in half-graben basins across the globe, offering guidance for hydrocarbon exploration in analogous sedimentary environments. Full article
(This article belongs to the Section Geological Oceanography)
Show Figures

Figure 1

Back to TopTop